This case shows how thin women are still candidates for TRAM flap breast reconstruction. This woman presented with right breast cancer and was originally told she was not a candidate for TRAM flap reconstruction.
Proper proportion of available tissue is the key deciding factor in patient selection. She had a full A/small B cup breast and an equal amount available from her abdomen. A successful reconstruction.
Top Row: Before mastectomy
Center Row: After mastectomy and TRAM flap
Bottom Row: After final stage of reconstruction, and a nice, symmetric outcome.